Symptomatic individuals with Lumbar Disc Degeneration use different anticipatory and compensatory kinematic strategies to asymptomatic controls in response to postural perturbation

Deane, JA; Lim, Adrian; Phillips, A.T.M.; McGregor, Alison H.

doi:10.1016/j.gaitpost.2021.03.037

Cited by 3 publications

(1 citation statement)

References 57 publications

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“…The loss of LL in LDH may be secondary to factors resulting to disc height loss. And a change of forward-bending postural may be an analgesic response in order to avoid high pressure of posterior disc, or to avoid foraminal stenosis caused by herniated disc [18,19] . The LL loss may also be root in a rotation of the pelvis caused by contraction of the hip extensor muscles.…”

Section: Discussionmentioning

confidence: 99%

The significant difference in compensatory mechanism of sagittal spinopelvis between patients with lumbar disc herniation and patients with spondylolisthesis

Chen,

Yang,

Liang

et al. 2023

Preprint

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Background: Sagittal spinopelvis plays an important role in occurrence and development in spinal disorders, no study was focused on the differences of spinopelvic alignment between patients with LDH and patients. Objective: to study differences of spinopelvic alignment and to analyze differences of correlation between sagittal alignment parameters among patients with lumbar disc herniation (LDH), spondylolisthesis (SPL) and normal population. Methods: Standard up-standing antero-posterior and lateral X-ray of the whole spine were preformed in all subjects. Evidence of LDH was confirmed by CT or MRI. SPL was diagnosed by X-ray or MRI. The parameters were measured including TK, LL, PI, SS, PT and SVA in lateral radiography. Results: 60 patients with LDH, 62 patients with SPL and 57 normal were included. Significant differences for the SS, TK, LL and SVA (P <0.05) was found among three groups. PI of SPL patients was the highest among the three groups (P <0.05). PT of both SPL patients and LDH patients were significant higher than controls’ (P <0.05). LL of LDH patients was the lowest among the three groups (P <0.05). PI was less correlated with LL (P <0.05) in patients with LDH and SPL. PT was more strongly negative correlated with SS, LL and TK in LDH group (P <0.05). SS was more strongly positive correlated with TK (P <0.05), and SS and LL were more strongly negative correlated with SVA (P <0.05) in LDH patients. Conclusions: the present results indicated a disharmonious spinopelvic relationship and exhibited different compensatory models of spine to adapt changes in spinal alignment in LDH patients and SPL patients.

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Section: Discussionmentioning

confidence: 99%

The significant difference in compensatory mechanism of sagittal spinopelvis between patients with lumbar disc herniation and patients with spondylolisthesis

Chen,

Yang,

Liang

et al. 2023

Preprint

View full text Add to dashboard Cite

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Balance and Gait in Neuropathic Pain Associated with Lumbar Disc Degeneration

et al. 2022

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The effectiveness of postoperative exercise based on gait analysis compared with conventional exercise in patients with lumbar spinal stenosis: A randomized clinical trial

Zhong

Ding

Ben-Sheng

et al. 2023

BMR

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BACKGROUND: Despite being used as a program of postoperative rehabilitation, few randomized controlled trials have compared the effectiveness of postoperative exercise based on gait analysis in patients with lumbar spinal stenosis (LSS). OBJECTIVE: To investigate the effectiveness of postoperative exercise based on gait analysis in patients with LSS and to compare it with the effectiveness of conventional exercise. METHODS: This was a double-blind, randomized clinical trial. Sixty-eight participants with LSS were randomly assigned to one of two groups. After receiving a standardized surgical procedure, the observation group received exercises based on 3-D gait analysis, and the control group received empirical physiotherapy containing 4 basic interventions. Both groups took a one-hour session twice daily for 2 weeks. The Oswestry Disability Index (ODI) scale and the Visual Analog Scale (VAS) were measured before and 2 weeks and 6 months after intervention. The gait indicators were measured before and 6 months after intervention. RESULTS: At baseline, there were no significant differences in the ODI, VAS or absolute symmetry index (ASI) of the gait variables between the observation group and the control group. However, at 6 months, pain intensity, walking, standing, social life and summary scores of ODI and VAS of the leg demonstrated significant differences (p< 0.05, respectively) between groups, and the observation group had greater reductions in ASI of stride length, hip flexion, knee flexion and ankle dorsiflexion compared with the control group (p< 0.05, respectively). CONCLUSIONS: The postoperative rehabilitation scheme based on gait analysis resulted in significant short- to medium-term improvements in pain intensity, walking, standing, social life and the summary score of ODI, VAS of leg and symmetry of stride length, hip flexion, knee flexion and ankle dorsiflexion compared with empirical exercise in patients with LSS.

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Symptomatic individuals with Lumbar Disc Degeneration use different anticipatory and compensatory kinematic strategies to asymptomatic controls in response to postural perturbation

Cited by 3 publications

References 57 publications

The significant difference in compensatory mechanism of sagittal spinopelvis between patients with lumbar disc herniation and patients with spondylolisthesis

The significant difference in compensatory mechanism of sagittal spinopelvis between patients with lumbar disc herniation and patients with spondylolisthesis

Balance and Gait in Neuropathic Pain Associated with Lumbar Disc Degeneration

The effectiveness of postoperative exercise based on gait analysis compared with conventional exercise in patients with lumbar spinal stenosis: A randomized clinical trial

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